# ASSMCA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023229820
- **Authorized official:** MR. RAFAEL RODRIGUEZ (ENFERMERO)
- **Authorized official phone:** (787) 832-6771

## Contact information

- **Practice address:** STREET SEVILLA 81URB. VISTA ALEGRE, URB. VISTA ALEGRE, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-0208
- **Mailing address:** 81 CALLE SEVILLA, URB. VISTA ALEGRE, AGUADILLA, PR 00603-5909
- **Mailing address phone:** (787) 882-0208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 16088 | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020